Quality of Life and Satisfaction with Immediate Breast Reconstruction after Mastectomy in Patients with Breast Cancer
Article Sidebar
Main Article Content
Abstract
This descriptive cross-sectional research aimed to explore the quality of life and satisfaction with immediate breast reconstruction after mastectomy in patients with breast cancer.Purposive sampling was used to select a sample of 80 patients diagnosed with breast cancer undergoing immediate breast reconstruction after mastectomy. They were recruited at an outpatient surgical department clinic in a university hospital in Bangkok, Thailand. The instruments used for collecting data comprised the Demographic Data Form and the BREAST-Q Version 2.0© Reconstruction Module Postoperative Scales(Thaiversion),consisting of two parts: quality of life and satisfaction. Data were analyzed using descriptive statistics. The quality of life had three domains (physical well-being,psychosocial well-being, and sexual well-being), it was found that the physical well-being domain had the highest mean score,while the sexual well-being domain had the lowest.For the satisfaction part, the domains were analyzed, the mean satisfaction with care was the highest; however, the satisfaction with the information subdomain was lower than other subdomains. Among the four types of surgery,the quality of life in terms of physical well-being, particularly the chest of the patients receiving latissimus dorsi flap, had the highest mean score. However, the satisfaction with breasts of transverse rectus abdominis myocutaneous flap reconstruction had the highest mean score. The results of this study can be used as basic information for patients and healthcare providers to decide on optimal breast reconstruction that meets the patients’demands and to develop care to enhance sexual well-being.
Keywords: Breast cancer, Immediate breast reconstruction,Mastectomy, Quality of life,Satisfaction
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
References
World Health Organization. Breast cancer. 2018 [cited10 May 2020]. Available from: http://www.who.int/ cancer/prevention/diangnosis-screening/breast-cancer/en/
SungH,FerlayJ,SiegelRL,LaversanneM,Soerjomataram I, Jemal A, et al. Global cancer statistics 2020:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer JClin. 2021;71(3):209-49.
National Cancer Instutute. Hospital based cancer registry 2020. Bangkok: Medical Records and Databased Cancer Unit, Medical Digital Division National Cancer Institute;2021. (in Thai)
Petit JY, Rietjens M, Lohsiriwat V, ReyP, Garusi C, De Lorenzi F,etal.Update on breast reconstruction techniques and indications. World J Surg. 2012;36(7):1486-97.
Somintara O.Surgical Treatment of Early Breast Cancer.Srinagarind Medical Journal.2015;30(2):149-54.(inThai)
The World Health Organization Quality of Life assessment(WHOQOL):position paper from the World Health Organization.Soc Sci Med. 1995;41(10):1403-9.
Beyaz SG, Ergönenç J, Ergönenç T, Sönmez Ö U,Erkorkmaz Ü, Altintoprak F. Postmastectomy pain: a cross-sectional study of prevalence, pain characteristics,and effects on quality of life. Chin Med J (Engl).2016;129(1):66-71.
Chwałczyń ska A, Woźniewski M, Rozek-Mróz K,Malicka I. Quality of life in women after mastectomy.Wiad Lek. 2004;57(5-6):212-6.
Male DA, Fergus KD, Cullen K. Sexual identity after breast cancer: sexuality, body image, and relationship repercussions. Curr Opin Support Palliat Care.2016;10(1):66-74.
McCarthy CM,KlassenAF, CanoSJ,ScottA,Vanlaeken N, Lennox PA, et al. Patient satisfaction with postmastectomy breast reconstruction: a comparison of saline and silicone implants. Cancer. 2010;116(24):5584-91.
El-Sabawi B, Ho AL, Sosin M, Patel KM. Patient-centered outcomes of breast reconstruction in the setting of post-mastectomy radiotherapy: a comprehensive review of the literature. J Plast Reconstr Aesthet Surg. 2017;70(6):768-80.
DiazJF. Review of 494 consecutive breast augmentation patients: system to improve patient outcomes and satisfaction. Plast Reconstr Surg Glob Open. 2017;5(10):e1526.
Hu ES,PusicAL,WaljeeJF,KuhnL,HawleyST,Wilkins E,etal.Patient-reported aesthetic satisfaction with breast reconstruction during the long-term survivorship Period.Plast ReconstrSurg. 2009;124(1):1-8.
EltahirY,Werners L,DreiseMM,van EmmichovenIAZ,Jansen L, Werker PMN, et al. Quality-of life outcomes between mastectomy alone and breast reconstruction:comparison of patient-reported BREAST-Q and other health-related quality-of-life measures. Plast Reconstr Surg. 2013;132(2):201e-9.
Kim MK, Kim T, Moon HG, Jin US, Kim K, Kim J, et al. Effect of cosmetic outcome on quality of life after breast cancer surgery. Eur J Surg Oncol. 2015;41(3):426-32.
ZehraS, DoyleF, Barry M, WalshS, Kell MR. Health-related quality of life following breast reconstruction compared to total mastectomy and breast-conserving surgery among breast cancer survivors: a systematic review and meta analysis.BreastCancer.2020;27(4):534-66.
Srimontayamas S, Sa-Nguanraksa D, Lohsiriwat V,Rushatamukayanunt P, Imruetaicharoenchoke W,Prasartong-OsothP, et al. Quality of life in breast cancer survivors: Comparative study of mastectomy, mastectomy with immediate transverse rectus abdominis
musculocutaneous flap reconstruction and breast conserving surgery.JMedAssocThailand.2017;100:S38-45.(inThai)
Lohsiriwat V,Nuanuthai N,Rojananin S,Chuangsuwanich A, O-charoenrat P, Ratanawichitrasin A, et al. Patient satisfaction, quality of life and outcomes of delayed postmastectomy breast reconstruction in early breast cancer patient:a tertiary care center. The Breast. 2017;32:S118.(in Thai)
PusicAL, ReaveyPL,KlassenAF,ScottA,McCarthy C,Cano SJ. Measuring patient outcomes in breast augmentation:introducing the BREAST-QAugmentation module. ClinPlastSurg. 2009;36(1):23-32.
Fatiregun OA,Olagunju AT, Erinfolami AR,Arogunmati OA, Fatiregun OA, Adeyemi JD. Relationship between anxiety disorders and domains of health related quality of life among Nigerians with breast cancer. Breast. 2017;31:150-6.
Prakobkit K,Junda T,Sumdaengrit B.Marital relationship before surgery,sexual health,and quality of life in women with breast cancer after surgery and their spouse. Journal of Nursing Health. 2013;32(3):14-23. (in Thai)
Ng SK, Hare RM, Kuang RJ, Smith KM, Brown BJ,Hunter-Smith DJ. Breast reconstruction post mastectomy:patient satisfaction and decision making. Ann Plast Surg.2016;76(6):640-4.
Yamane T.Statistics:an introductory analysis. 3rd edition:Harper & Row; 1973.
Edge SB, Compton CC. The American Joint Committee on Cancer: the 7th edition of the AJCC cancer staging manual and the future of TNM. Ann Surg Oncol.2010;17(6):1471-4.
Cereijo-Garea C, Pita-Fernández S, Acea-Nebril B,Rey-Villar R, García-Novoa A, Varela-Lamas C, et al.Predictive factors of satisfaction and quality of life after immediate breastr econstruction using the BREAST-Q(©).J Clin Nurs. 2018;27(7-8):1464-74.
Cha R, Barnes E, Locke MB.Patient-reported outcomes following breast reconstruction surgery in a public hospital:use of the Breast-Q questionnaire. N Z Med J.2013;126(1386):43-55.
Martinez-López JC, García-Espinoza JA, Flores-Soto D,Navarro-Delgadillo CI,Márquez-EspriellaC,DávilaDiaz R, et al.Patient satisfaction index and quality of life measurement with Breast-Q after breast reconstruction in a plastic surgery center in Mexico. J Biosci Med.2021;9(6):94-105.
Liu C, Zhuang Y,Momeni A, LuanJ, ChungMT,Wright E, et al. Quality of life and patient satisfaction after microsurgical abdominal flap versus staged expander/implant breast reconstruction: a critical study of unilateral immediate breast reconstruction using patient-reported outcomes instrument BREAST-Q. Breast cancer research and treatment. 2014;146:117-26
Fisher WA, Donahue KL, Long JS, Heiman JR, Rosen RC,Sand MS. Individual and partner correlates of sexual satisfaction and relationship happiness in midlife couples:Dyadic analysis of the international survey of relationships.ArchSex Behav. 2015;44:1609-20.
Mundy LR, Homa K, Klassen AF, Pusic AL, Kerrigan CL. Breast cancer and reconstruction:normative data for interpreting the BREAST-Q. Plastic and reconstructive surgery. 2017;139(5):1046e.
Gómez-Escolar Larrañaga L, Delgado Martínez J,Miguelena Bobadilla JM. Comparison among the levels of patients’satisfaction according to the surgical technique used in breast reconstruction after mastectomy. Cir Esp.2017;95(10):594-600.
Pirro O, Mestak O, Vindigni V, Sukop A, Hromadkova V, Nguyenova A, et al. Comparison of Patient-reported Outcome safter Implant Versus Autologous Tissue Breast Reconstruction Using the BREAST-Q. Plast Reconstr Surg Glob Open. 2017;5(1):e1217.
Colakoglu S, Khansa I, Curtis MS, Yueh JH, OgunleyeA, Haewyon C, et al. Impact of complications on patient satisfaction in breast reconstruction.Plast Reconstr Surg.2011;127(4):1428-36.
Matthews H, Carroll N, Renshaw D, Turner A, Park A,Skillman J, et al. Predictors of satisfaction and quality of life following post-mastectomy breast reconstruction.Psychooncology. 2017;26(11):1860-5.
Eltahir Y, Werners LL, Dreise MM, van Emmichoven IAZ,Werker PM,de Bock GH.Which breast is the best?Successful autologous or alloplastic breast reconstruction:patient-reported quality-of-life outcomes. Plastic and reconstructive surgery. 2015;135(1):43-50.
Leuzzi S,Stivala A,ShaffJ,Maroccia A,Rausky J, Revol M, et al. Latissimus dorsi breast reconstruction with or without implants: A comparison between outcome and patient satisfaction. J Plast Reconstr Aes. 2019;72(3):381-93.